Innovative Eye Care OD PLLC
NPI 1114201936 · Optometrist · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Eye Care OD PLLC is a Optometrist organization in Charlotte, NC (NPI 1114201936).
Provider details
- NPI number
- 1114201936
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Michelle Mumford, Owner(704) 348-1500
- License
- 2225 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-09-29
- Last updated
- 2012-02-28
Frequently asked questions
- What is Innovative Eye Care OD PLLC's NPI number?
- Innovative Eye Care OD PLLC's National Provider Identifier (NPI) is 1114201936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Eye Care OD PLLC?
- Innovative Eye Care OD PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Innovative Eye Care OD PLLC located?
- Innovative Eye Care OD PLLC's practice location on file with NPPES is 1710 Kenilworth Ave, Charlotte, NC 28203-5256.
- What is Innovative Eye Care OD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Eye Care OD PLLC is (704) 348-1500.
- Does Innovative Eye Care OD PLLC accept Medicare?
- Innovative Eye Care OD PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Innovative Eye Care OD PLLC?
- The authorized official listed on Innovative Eye Care OD PLLC's NPPES record is Michelle Mumford, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Eye Care OD PLLC's NPI active?
- Yes — Innovative Eye Care OD PLLC's NPI (1114201936) is active in the NPPES registry as of the last update on 2012-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.